Provider Demographics
NPI:1114793908
Name:HEALING WINGS COUNSELING LLC
Entity Type:Organization
Organization Name:HEALING WINGS COUNSELING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PSYCHOTHERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:MICHELLE
Authorized Official - Middle Name:
Authorized Official - Last Name:SCHRUBBE
Authorized Official - Suffix:
Authorized Official - Credentials:PHD, LPC, CSAC
Authorized Official - Phone:262-366-6669
Mailing Address - Street 1:2320 RIVER BEND RD
Mailing Address - Street 2:
Mailing Address - City:PLOVER
Mailing Address - State:WI
Mailing Address - Zip Code:54467-2726
Mailing Address - Country:US
Mailing Address - Phone:262-366-6669
Mailing Address - Fax:
Practice Address - Street 1:2320 RIVER BEND RD
Practice Address - Street 2:
Practice Address - City:PLOVER
Practice Address - State:WI
Practice Address - Zip Code:54467-2726
Practice Address - Country:US
Practice Address - Phone:262-366-6669
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-12-01
Last Update Date:2023-12-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)